What the panel ordered
Petition for Reconsideration denied
Petition for Reconsideration filed and denied
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
Temporary disabilityDefendant prevailedlumbar spine
The Board found that the surgery was reasonable and necessary on an industrial basis despite being self-procured and denied by UR/IMR, and that temporary disability benefits are payable for the period following the surgery.
From the decision · page 31. Applicant's Occupation Age at Injury Engineer Tech II 45 2. Age at Injury 45 3. Dates of Injury 4/19/2013; 7/8/2013; 7/10/2013 4. Parts of Body Lumbar Spine 5. Status of Claims Accepted 6. Petitioner County of Fresno 7. Timeliness Timely Filed, 9/27/2021 8. Verification Petition was Verified 9. Award Date 9/8/2021 10. Answer Filed
The facts that decided it
What the panel treated as outcome-determinative, and which side it favoured.
The lumbar fusion surgery was self-procured after denial by Utilization Review and Independent Medical Review